For communities and families. Nurses must be registered

For this essay, I will be writing about the important of
collaborative working to promote person centred care. A single patient may
require more than one professional to be looked after depending on the
treatment, interprofessional teams are needed for the best efficient care. Interprofessional
working (IPW) has been positively supported by the World Health organisation
(WHO, 2010). A collaborative team is a major step for the healthcare system ‘from
fragmentation to a position of strength’ (WHO, 2010). It has been stated that
planning and relation between integrated teams is needed to improve a service users
care.

 

During a community placement working with older adults with
mental health, I’ve had to work alongside a broad range of professional such as
OT, CPN, psychology and doctors. I have seen how they combine their effort and
knowledge to make a service users lives better or improve it. The level of
communication is very high because communication is crucial, important information
is being shared among a group of professional to find the best solution for an
individual.

For example, I will show a case of collaborative practice in
a community environment how it involves a staff nurse and a psychologist, I
will discuss their roles and the bodies that govern their professions. It will show
how they follow their codes of conduct and how they give the package of care
given to a service user was looked after and treated by the cooperation and
collaboration from a nurse and psychologist.

The role of a nurse is to is provide healthcare to an
individual, communities and families. Nurses must be registered with the
Nursing and Midwifery Council (NMC) and they have the duty to follow the NMC
code of professional conduct, performance and ethics (2004). A psychologist main
role is assessing, diagnosed and treat the service user psychological issues
which can be related to physical or mental health.

For this essay, the patient will be known as Peter due to
the NMC code of Conduct (2004) and to protect the innocent, the names of the
patient and staff.

Peter was referred to the older adult mental health community
team by his GP because it has been reported he hasn’t been eating and acting
strange at home, forgetting name and faces. Peter nearly took an overdose but
was caught out by his wife and when he was asked why did he do it, he couldn’t remember.
A CPN attended home visit after the referral and asked a series of questions an
ACE III was completed which helps identify if someone is suffering from
dementia which could be affecting his memory. The CPN would take this case and
upload the information online (RIO) and discussed the case at a meeting with
other professionals such a psychologist. The psychologist took lead because of
the poor ACE III test score which could indicate that Peter suffers from
dementia. We also contacted our dietician to pay Peter a visit because he can
be affected by malnutrition. The nurse informed Peter that she was referring
him to a dietitian for further nutritional assessments and advice about his
diet and health, this follows Department of Health guidelines set out in a
paper called The NHS Plan (2000, p.4). Upon visiting Peter, the dietician concluded
that Peter lacks fluid and needs to drink more water to keep hydrated, the lack
of water will make Peter very weak and hard for him to function normally especially
for his age.

The phycologist invited Peter to the clinic for a memory
assessment and with that information, it was discussed again at the meeting and
the speciality doctor prescribed the appropriate medication for Peter to take
while the CPN keep up to date with him. To keep him active physically and
mentally, I contacted the Alzheimer & Dementia Support Services (ADSS) to
help him keep busy and out of his house. I was present for a follow up home
visit with the doctor to check on how Peter was getting along with the
medication. When the doctor was asking the questions, he was making sure to
give eye contact and engaging in conversation, making sure to make his words
clear while maintaining a straight composure. Instead of having the
conversation being one sided he let her engage in the conversation and let her
have her say because we are there for her wellbeing (Evans et al, 2014)

It was a successful collaboration between the nurse and the psychologist,
they enhanced the package of care delivered to the patient. They understood
each other and shared knowledge and skills to aid the recovery of the patient,
they both took the extra step seeing the service user separately and then
coming together to conclude. Being a student nurse and having my placement there,
it was an amazing example of Interprofessional collaborative working is successful
and how communication is delivered to the staff and to the service user.

Communication can be a great barrier for some, especially
for older adults. Even with help it be difficult for them to ask simple
question about their health. Two third of the population feel uncomfortable
speaking to people with older adult’s due to their age, it is a social
exclusion and wrong for our society, (Scope,2017).

There have been many changes in the past, such as adding
medical tasks to nurses which should be completed by a doctor but due to short
staff and funding, changes had to be made.

 

The upgrading of responsibility and specialisation of
medical tasks to nurses previously in the doctor’s domain discussed about if
this was a right decision within the group and that I could be a positive
experience because it’s all about sharing knowledge and not hierarchical
structures of power within groups. (Baker et al 2006) discusses the evolution
of healthcare and within that the steps towards a interprofessional team based
model of healthcare delivery.

In the last fifteen years there have been a great deal of change
in the medical professions organisation, policy and structure and with all
these changes has improved the quality of care for service users (Colyer 2004).

 

It is not always positive when it comes to information
sharing. There are some cases where teams do not share information or the
accurate information. If there are conflicts in a multidisciplinary team which
may affect service users. For example, The Laming Report (2003) stated how poor
and lacking information sharing is and that it must be improved to stop terrible
tragedies such as the death of Victoria Climbie which could have been avoided. The
issue of information sharing and confidentiality can cause barriers to interprofessional
working as different professions have different views on information sharing and
confidentiality. The sharing of information between different team or agencies can
raise problems due to different policies each team to follow.